HomeMy WebLinkAboutBLD2017-00425 Remodel - BLD Application - 5/12/2017 MASON COUNTY COMMUNITY SERVICES Permit No: _ W
PERMITASSISTANCECENTER: Recv'd. EI V ED
.BUILDING•PLANNING•FIRE MARSHAL
615 W.Alder St-Shelton,WA 98584
Phone:360-427-9670 ext 352 Fax:360-427-7798 http://www.co.mason.wa.us/community dev/ MAY
12 2017
BUILDING PERMIT APPLICATION 1815WAIftr
PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION:
NAME: Michael Cain NAME:
MAILING ADDRESS:3405 NW Phinnev Bay Dr MAILING ADDRESS:
CITY:Bremerton STATE: WA ZIP: 98312 CITY: STATE: ZIP:
PHONE#1: 360-621-6482 PHONE: CELL:
PHONE#2:360-620-0363 EMAIL:
EMAIL: cainwebccDyahoo.com L&I REG# ENP.
CONTACT PERSON: OWNER® CONTRACTOR❑ OTHERIBELOW❑
NAME: MAILING ADDRESS:
CITY: STATE: ZIP: PHONE: CELL:
EMAII.:
PARCEL INFORMATION: BUI
DING
PARCEL NUMBER(12 DIGIT NUMBER) 12220-55-00086 ZONING 19-Residential
LEGAL DESCRIPTION(ABBREVIATED) Lakeland Village 6 Lot:86 FIRE DISTRICT 5
SITE ADDRESS 440 E Fairway Dr. CITY Allyn,WA 98524
DIRECTIONS TO SITE ADDRESS HWY-3 to E Lakeland Dr.,E Lakeland Dr.to E Country Club Dr.,E Country Club Dr.to
corner of E Fairway Dr.
IS PROPERTY WITHIN 200 FT: (Checkarrrharapply):
SALTWATER❑ LAKE❑ RIVER/CREEK❑ POND❑ WETLAND❑ SEASONAL RUNOFF❑ STREAM❑
IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14% YES❑ NO
TYPE OF WORK: NEW ❑ ADDITION ❑ ALTERATION® REPAIR❑ OTHER ❑
USE OF STRUCTURE(Residence,Garage,Commercial Bldg,Etc.) Residence
IS USE: PRIMARY N SEASONAL❑ NUMBER OF BEDROOMS 3 NUMBER OF THROOMS 3
HEATED STRUCTURE? YES(Whole Bldg)R YES(Part[s]of Bldg)❑ NO❑
DESCRIBE WORK Remove dropped kitchen ceiling;remodel(update)3 bathrooms in wdsting foot Tint.
SOUARE FOOTAGE:
1ST FLOOR 2107 sq.ft. 2ND FLOOR sq.ft. 3RD FLOOR sq.ft. BASEMENT 1100 sq.tL
DECK sq.ft. COVERED DECK sq.ft.STORAGE sq.ft. OTHER sq.ft.
GARAGE 912 sq.ft. ATTACHED® DETACHED❑ CARPORT sq.ft. ATTACHED❑ DETACHED❑
MANUFACTURED HOME INFORMATION: •4 COPIES OF THE FLOOR PLAN REOUIRED
MAKE MODEL YEAR LENGTH
WIDTH BEDROOMS BATHS SERIAL NUMBER
OWNER acknowledges that submission of inaccurate information may result in a stop work order or permit revocation.
Acknowledgement of such is by signature below.I declare that I am the owner or owner's legal representative.I further
declare that I am entitled to receive this permit and to do the work as proposed.I have obtained permission from all the
necessary parties,including any easement holder or parties of interest regarding this project.The owner or legal
representative,represents that the information provided is accurate and grants employees of Mason County access to
the above described property and structure(s)for review and inspection.This permit/application becomes null&void if
work or authorized construction is not commenced within 180 days or if construction work is suspended for a period of
180 days.
PROOF OF CONTINUATION OF WORK IS BY MEANS OF INSPECTION.INACTIVITY OF THIS PERMIT
APPLICATION OF 180 DAYS WILL CAUSE THE APPLICATION TO BE EXPIRED.(MASON COUNTY CODE 14.08.42)
X � � Z12 7
Signature of OWNER Date
DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS
BUILDING DEPARTMENT 7 I
PLANNING DEPARTMENT
FIRE MARSHAL
PERMIT SPECIALISTS Intake By: Approved&Ready for Pick-Up:
�soN cop�TA MASON COUNTY COMMUNITY SERVICES PermitNo:�bldu 11 0042s
PERMIT ASSISTANCE CENTER:
BUILDING •PLANNING •FIRE MARSHAL
615 W. Alder St-Shelton, WA 98584
www.co.mason.wa.us RECEIVED
Phone Shelton:(360)427-9670 ext. 352• Fax.(360)427-7798
tRu Phone Belfair.,(360)275-4467• Phone Elma:(360)482-5269
MAY 12 2017
PLUMBING & MECHANICAL PERMIT APPLICATIO
OWNER INFORMATION: CONTRACTOR INFORMATION:
NAME: Michael Cain NAME:
MAILING ADDRESS: 3405 NW Phinney Bay Dr MAILING ADDRESS:
CITY: Bremerton STATE: wA ZIP: 98312 CITY: STATE: ZIP:
I"PHONE: 360-621-6482 PHONE: CELL:
2nd PHONE: 360-620-0363 EMAIL :
EMAIL: cainweb@yahoo.com L&I REG# EXP.
PARCEL INFORMATION:
PARCEL NUMBER(12 Digit Number): 12220-55-00086 Zoning: 19-Residential
LEGAL DESCRIPTION(Abbreviated): Lakeland Village 6 Lot:86
SITE ADDRESS: 440 E Fairway Dr CITY: Allyn,WA 98524
DIRECTIONS TO SITE ADDRESS: HWY-3 to E Lakeland Dr., E Lakeland Dr.to E Country Club Dr.to corner of E. Fairway Dr.
and E. Country Club Dr.
TYPE OF JOB: flUILDING
NEW ADD ALT X REPAIR OTHER USE OF BUILDING
LOCATION OF FIXTURES/UNITS-1 sT FLOOR X 2ND FLOOR BASEMENT GARAGE OTHER
PLUMBING FIXTURES(SHOW NUMBER OF EACH) MECHANICAL UNITS
Type of Fixture No.of Fixtures Fees Fuel Type:Electric LPG Natural Gas Ductless_
Toilets Type of Unit No.of Units Fees
Bathroom Sink 4 Furnace
Bath Tubs 2 Heat Pump
Showers 2 Spot Vent Fan 1
Water Heater Propane Tank
Clothes Washer Gas Outlets
Kitchen Sinks Wood/Gas/Pellet Stove
Dishwasher Kitchen Exhaust Hood
Hose bibs Dryer Vent
Other Solar Panel
Other
Base Fee Base Fee
TOTAL PLUMBING TOTAL MECHANICAL
OWNER acknowledge submission of inaccurate information may result in a stop work orderby signature below. I declare that I am the owner,owners legal representative,or contracto m Qv C //
permit and to do the work as proposed. I have obtained permission from all the necessary 1 /
interest regarding this project.The owner or authorized agent represents that the informatic 6 1✓v x (S �-( t�G
Mason County access to the above described property and structure(s)for review and insp
if work or authorized construction is not commenced within 180 days or if construction work v T U k — C0 Ni C-F y
OF CONTINUATION OFTHIS PERMIT IS BY MEANS OF INSPECTION.INACTIVITY OF /� YJJ
WILL INVALIDATE THE APPLICATION. rt A D (T-(� ' \
Signature of Owner F K Tu 12 L
DEPARTMENTAL REVIEW APPROVED DATE DENIED
BUILDING DEPARTMENT
PLANNING DEPARTMENT
FIRE MARSHAL
Visit us on-line: http://www.co.mason.wa.us/community_dev/